Individual
MR. DONALD VINAY KUMAR PIDUGU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
975 BAPTIST WAY, HOMESTEAD, FL 33033-7600
(786) 243-8510
Mailing address
1072 NW 155TH TER, PEMBROKE PINES, FL 33028-1509
(305) 778-8725
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA9108947
FL
Other
Enumeration date
09/24/2015
Last updated
10/19/2015
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